diabetes mellitus with HbA1C inferior to 7% [ Time Frame: 1 year ] [ Designated as safety issue: No ]

quality of life with mental and physical scores (SF-12) [ Time Frame: 1 year ] [ Designated as safety issue: No ]

patient's level of knowledge of the disease: number of correct answers to 19 questions [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Original Secondary Outcome Measures ICMJE (submitted: June 14, 2006)

blood pressure less than 140/80mmHg

low density lipoproteins cholesterol less than 1g/l

diabetes HbA1 less than 7%

patient's quality of life

patient's satisfaction

patient's level of knowledge of the disease

physicians' satisfaction

Current Other Outcome Measures ICMJE

Not Provided

Original Other Outcome Measures ICMJE

Not Provided

Descriptive Information

Brief Title ICMJE

Study of the Efficiency of Education About Cardiovascular Risk Factors in Patients After an Acute Coronary Syndrome

Official Title ICMJE

A Network to Control Risk Factors After Acute Coronary Syndrome

Brief Summary

The purpose of this study is to determine whether the follow up of patients with acute coronary syndrome and modifiable cardiovascular risk factors is efficient based on outpatients visits in a House of Education, underlining the importance of nicotinic weaning, weight loss and physical activity practice.

Detailed Description

Objectives

The main purpose of this study is to evaluate the efficiency of "Resicard Prevention", which is a structured health network within a House of Education located outside of the hospital and based on outpatients' visits.

Another purpose is to facilitate and optimize physicians and all health members communication around the acute coronary syndrome patients.

Method

After randomization, patients are directed to one of the two following groups: the conventional network group or the structured network group. Six and twelve months after their hospitalization, a blood test will be performed and their weight, blood pressure, waist measurement and cardiac frequency will be recorded in order to monitor patients' cardiovascular risk factors.In any case, patients receive optimal care with the participation of different health members (such as nurses, doctors, dietician...).

a-The conventional network group

Patients are taken care of, according to good medical practice by their usual general practitioner and cardiologist. The frequency of consultations is set up according to symptoms. The follow up of patients is optimized as they are taken care of by a multidisciplinary health team.

b-The structured network group

Patients in this group will have to consult their general practitioner and cardiologist within the first month after their hospitalization. Two forms summarizing their hospitalization facts and the objectives of the risk factors correction will be electronically sent to their general practitioner, to their cardiologist and to the House of Education. Patients have appointments at the House of Education where a multidisciplinary team (with a nurse, a dietician,...) welcomes them. They set up a schedule according to patients' needs:

consultation for nicotinic weaning

some dietary advice in order to lose weight

some specific advice on diabetes and/or hypercholesteremia

information about high blood pressure

some advice to pursue a regular physical activity After each appointment at the House of Education, a form summarizing the risk factors will be provided electronically to patients' general practitioner and cardiologist.

Conclusion -This evaluation protocol should demonstrate the efficiency of a health network based on the correction of modifiable cardiovascular risk factors within a House of Education in secondary prevention after an acute coronary syndrome.